Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $921.00 / $3,682.00 / $12,826.00	Facility		$921.00	$3,682.00	$12,826.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $804.19 / $917.82 / $1,548.30	Professional		$804.19	$917.82	$1,548.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,765.46 / $9,092.56 / $18,185.13	Facility		$4,765.46	$9,092.56	$18,185.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.28 / $1,043.59 / $1,441.92	Professional		$830.28	$1,043.59	$1,441.92
Christus Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $816.35 / $831.69	Facility		$80.00	$816.35	$831.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,026.31 / $1,026.31 / $1,026.31	Facility		$1,026.31	$1,026.31	$1,026.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $895.29 / $1,201.55 / $1,865.21	Professional		$895.29	$1,201.55	$1,865.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,239.25 / $26,542.00 / $28,447.40	Facility		$4,239.25	$26,542.00	$28,447.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,433.26 / $7,433.26 / $7,801.80	Professional		$7,433.26	$7,433.26	$7,801.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $878.96 / $1,138.94 / $1,876.44	Facility		$878.96	$1,138.94	$1,876.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $1,115.55 / $1,338.66 / $1,659.94	Professional		$1,115.55	$1,338.66	$1,659.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,153.50 / $1,512.43 / $1,579.36	Professional		$1,153.50	$1,512.43	$1,579.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $878.96 / $1,138.94 / $2,002.00	Facility		$878.96	$1,138.94	$2,002.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $920.04 / $1,247.65 / $1,891.32	Professional		$920.04	$1,247.65	$1,891.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,093.00 / $6,000.00 / $13,134.00	Facility		$2,093.00	$6,000.00	$13,134.00
United Facility/Professional Professional Modifier Low / Median / High Price $704.56 / $962.91 / $1,522.50	Professional		$704.56	$962.91	$1,522.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $761.67 / $864.97 / $1,200.74	Professional		$761.67	$864.97	$1,200.74